Treatment FAQ

what is the most effective and high rated treatment for osteoporosis?

by Dr. Judson Homenick III Published 2 years ago Updated 2 years ago
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Bisphosphonates are usually the first choice for osteoporosis treatment. These include: Alendronate (Fosamax), a weekly pill. Risedronate (Actonel), a weekly or monthly pill.

Medication

Two infusion medications — those that are injected directly into your vein — have been approved for osteoporosis treatment: Ibandronate (Boniva), infused once every three months. Zoledronic acid (Reclast), infused once a year.

Nutrition

Which osteoporosis medications are usually tried first? Bisphosphonates are usually the first choice for osteoporosis treatment. These include: Ibandronate (Boniva), a monthly pill or quarterly intravenous (IV) infusion Another common osteoporosis medication is denosumab (Prolia, Xgeva).

What is the best treatment for osteoporosis?

Are hormones used to treat osteoporosis? Estrogen, sometimes paired with progestin, was once commonly used to treat osteoporosis. This treatment can increase the risk of blood clots, endometrial cancer, breast cancer and possibly heart disease. It's now usually reserved for women at high risk of fracture who can't take other osteoporosis drugs.

Which osteoporosis medications are usually tried first?

These types of drugs are typically reserved for people who have very low bone density, who have had fractures or whose osteoporosis is caused by steroid medication. Teriparatide and abaloparatide require daily injections.

Are hormones used to treat osteoporosis?

What are the different types of osteoporosis drugs?

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What is the best and safest treatment for osteoporosis 2022?

Risedronate – Risedronate (brand names: Actonel, Atelvia) reduces the risk of both vertebral and hip fractures. Risedronate is approved for both prevention and treatment of osteoporosis. It can be taken once per day, once per week, or once per month.

What is the gold standard treatment for osteoporosis?

Bisphosphonates (BPs) are the pioneer and gold standard drugs for osteoporosis treatment. The development of BPs started decades ago. There are four bisphosphonates in the osteoporosis market: alendronate, risedronate, ibandronate, and zolendronate.

What is the newest treatment for osteoporosis?

Romosozumab (Evenity). This is the newest bone-building medication to treat osteoporosis. It is given as an injection every month at your doctor's office and is limited to one year of treatment.

Which is better for osteoporosis Fosamax or Prolia?

The bottom line. Fosamax, Prolia, and Boniva are all effective osteoporosis treatments since each one can help lower your risk of fractures. Each also comes with its own risk of side effects.

What is the best and safest treatment for osteoporosis 2021?

Bisphosphonates are usually the first choice for osteoporosis treatment. These include: Alendronate (Fosamax), a weekly pill. Risedronate (Actonel), a weekly or monthly pill.

What is the safest osteoporosis drug 2020?

The U.S. Food and Drug Administration today approved Evenity (romosozumab-aqqg) to treat osteoporosis in postmenopausal women at high risk of breaking a bone (fracture).

What is better Prolia or Forteo?

Forteo was better at preventing spinal bone loss, while Prolia was better at preventing bone loss at the hip. These differences could lead to your provider choosing one over the other.

Is Prolia worth the risk?

Are there any dangers of using this drug? Studies have found that Prolia is generally safe and effective to treat osteoporosis and certain types of bone loss. For example, in the studies, people taking Prolia for up to 8 years didn't have significant side effects compared with people taking a placebo.

Why was Fosamax taken off the market?

Researchers say that the fractures occurred because alendronate stops the body from breaking down bone. This creates thick, but brittle bones. In October 2010, the FDA ordered Merck to change its drug label to reflect the bone-fracture connection. Fosamax use may also make fractures more difficult to heal.

What works better than Prolia?

pills, such as alendronate (Fosamax), ibandronate (Boniva), or risedronate (Actonel, Atelvia), taken daily, weekly, or monthly. injections of ibandronate (Boniva), given once every three months.

What is the safest injection for osteoporosis?

Human monoclonal antibodies for osteoporosis include Prolia (denosumab) and the new drug Evenity (romosozumab). Prolia is given by injection every six months, and it works by inhibiting the maturation of osteoclasts, which protects bones from degrading and slows the progression of the disease.

What is the once a year injection for osteoporosis?

When zoledronic acid injection is used to treat osteoporosis in women who have undergone menopause, or in men, or to treat or prevent osteoporosis in people who are taking glucocorticoids, it is usually given once a year.

Which Medications Are Commonly Used For Osteoporosis Treatment?

Bisphosphonates are the most common medications prescribed for osteoporosis treatment. These include: 1. Alendronate (Fosamax) 2. Risedronate (Acto...

How Do Most Osteoporosis Medications Work?

With the exception of teriparatide, osteoporosis medications slow bone breakdown. Healthy bones continuously break down and rebuild.As you age — es...

How Do You Know If You're Taking The Right bisphosphonate?

Drugs in the bisphosphonate class are more alike than they are different. They all help maintain bone density. And, all bisphosphonates have been s...

When Might Other Osteoporosis Medications Be used?

Drugs such as denosumab, teriparatide and abaloparatide can be used by anyone with osteoporosis, but are more likely to be recommended for people w...

What Are Common Side Effects of Bisphosphonate pills?

Bisphosphonate pills aren't absorbed well in the stomach. The main side effects of bisphosphonate pills are stomach upset and heartburn. Generic fo...

Do Intravenous Bisphosphonates Have Advantages Over The Pill form?

Infused forms of bisphosphonates don't cause stomach upset. And it may be easier for some women to schedule a quarterly or yearly infusion than to...

Can Bisphosphonates Hurt Your Bones?

Long-term bisphosphonate therapy has been linked to a rare problem in which the upper thighbone cracks and may break. This injury, known as atypica...

How Long Should You Take A Bisphosphonate For Osteoporosis Treatment?

There's some uncertainty about how long to take bisphosphonates because of a lack of long-term studies. Bisphosphonates have been shown to be safe...

What Happens If You Break A Bone While Taking An Osteoporosis medication?

Osteoporosis medications lower the chance of fracture, but they don't eliminate all risk of breaking a bone. If you have a fracture while on treatm...

Can Medication Alone Successfully Treat Osteoporosis?

Don't rely entirely on medication as the only treatment for your osteoporosis. These practices also are important: 1. Exercise. Weight-bearing phys...

Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Medically reviewed by
Dr. Shreenidhi Kulkarni
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment aims to slow or stop bone loss, and to improve bone density. Medications help improve bone density.
Medication

Bisphosphonates: This medication helps to prevent the bone loss. It may be taken orally or by injection.

Alendronate . Ibandronate . Zoledronic acid


Hormone therapy: Helps to prevent bone loss. Administered through injection every 6 months.

Denosumab


Hormone therapy: Helps to increase the bone density. This mimics the estrogen hormone. Usually given for women.

Raloxifene


Hormone therapy: In men this hormone therapy helps to increase the bone density.

Testosterone


Supplements: To improve bone health.

Vitamin D . Calcium supplements

Nutrition

Foods to eat:

  • Dairy products
  • Low fat and non fat milk
  • Cheese
  • Yogurt
  • Fish
  • Canned sardines and salmon
  • Fatty variety fishes like tuna, mackerel
  • Fruits and vegetables
  • Green beans, peas, spinach, tomato, dark green vegetables

Foods to avoid:

  • Alcohol

Specialist to consult

Orthopedician
Specializes in bones and their disorders.

Preparing For Your Appointment

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